CORNELL JACKSON SR., MS MENTAL HEALTH

Social Worker - Clinical

Active Individual
NPI: 1215667373

Practice Address

1430 OLIVE ST STE 400
Saint Louis, MO 63103

Phone: (314) 206-3700

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes -

Frequently Asked Questions

NPI 1215667373 is the National Provider Identifier for CORNELL JACKSON SR., MS MENTAL HEALTH, a Social Worker - Clinical provider located in Saint Louis, MO. This NPI was enumerated on June 13, 2022.
CORNELL JACKSON SR., MS MENTAL HEALTH practices at 1430 OLIVE ST STE 400, Saint Louis, MO 63103.

Quick Facts

NPI
1215667373
Type
Individual
Enumerated
Jun 13, 2022
Last Updated
Jun 13, 2022

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